OBJECTIVE To evaluate whether mortality and clinical outcomes vary for injured patients in a mature trauma system on weeknights and weekends compared with weekdays. DESIGN Retrospective cohort study. SETTING Pennsylvania trauma system. PATIENTS A total of 90,461 patients over 5 years. INTERVENTION Treatment at a level I, II, or III trauma center. MAIN OUTCOME MEASURES In-hospital mort...

BACKGROUND The decision to attempt salvage or to amputate a severely injured limb is among the most difficult decision that the orthopaedist must face. OBJECTIVE To determine possible predictive factors that could become guides in taking decision for primary amputation as a first line treatment for trauma patients. DESIGN A prospective study of post-traumatic primary limb amputations. SET...

More than 1000 patients die each day from out-of-hospital cardiac arrest. Although the reasons are multifactorial, it is remarkable that more than 50% of patients who are brought to the hospital alive after immediate resuscitation never survive to hospital discharge. Ultimate functional survival after an out-of-hospital cardiac arrest in the United States is approximately 5%. Patients die from ...

PURPOSE To describe epidemiological findings of ocular trauma in childhood in an emergency unit. METHODS A retrospective study was carried out including patients under 16 years old who were treated for ocular trauma at the emergency unit of the Federal University of São Paulo from September 2001 to September 2004. Age, sex, involved eye, place, circumstance and mechanism of injury, initial vi...

BACKGROUND Pneumonia occurs commonly in intubated patients and is morbid and occasionally mortal. Pneumonia prevention strategies have been successful in the intensive care unit and are favorably regarded, cost effective, and efficacious. Trauma patients are often intubated emergently in the prehospital or emergency department (ED) setting. Nationwide, hospital crowding has resulted in prolonge...

BACKGROUND Venous thromboembolism (VTE) causes major morbidity in adults after trauma, occurring in up to 50% of patients without prophylaxis. The incidence of VTE after trauma is lower in children. No study has measured the incidence of and risk factors for VTE in critically ill children after trauma. METHODS Nested case-control study of children, younger than 18 years, admitted to the pedia...

AIM There is evidence that childhood trauma is a risk factor for the development of psychosis and it is recommended that childhood trauma is inquired about in all patients presenting with psychosis. This study aimed to determine the prevalence of childhood trauma in patients in the UK Early Intervention Service based on a case note review. METHODS This is a retrospective case note study of 29...

Presented a Battlefield Le Conference to Medicine, Tel Correspondi Trauma System Tactical Combat Casualty Care (TCCC) is a set of evidence-based, best-practice prehospital trauma care guidelines customized for use on the battlefield. The origins of TCCC were nontraditional. The TCCC program began as a Naval Special Warfare biomedical research effort launched after the realization that extremity...

sepsis is one of the most important causes of mortality in trauma patients. sometimes its diagnosis could be difficult, especially at early stages. it is clear that early diagnosis of sepsis, especially with serum markers, may decrease the rate of death in trauma patients. investigation to find a rapid as well as accurate serum marker indicative of sepsis seems necessary. seum antithrombin iii ...

Exsanguination is still a major cause of death in severely injured patients [1]. Traumaassociated bleeding diathesis, overt at admission to the trauma unit, correlates with the severity of trauma and mortality [2, 3]. Sufficient hemostatic management is critical to the successful resuscitation of the severely injured patient, second in importance only to adequate ventilation. Despite intense ef...